15-105212Building - Single Family
C*of Federal way Permit #: 15 -105212 -00 -SF
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2
53) 835-3050
Project Name: I AOTEN
Project Address: 1125 SW 325TH PL Parcel Number: 926494 0250
Project Description: REP Tear of shake roof (1) layer, install OSB plywood, install (1) layer asphalt shingles
Owner
ARRIlcant
Contractor
Lender
CYNTHIA KRAGTEN
PATRIOT ROOFING LLC
PATRIOT ROOFING LLC
OWNER IS LENDER
MICHAEL A KRAGTEN
PO BOX 1967
PATRIRL884BL (1/13/16)
1125 SW 325TH PL
GIG HARBOR WA 98335
PO BOX 1967
FEDERAL WAY WA 98023
GIG HARBOR WA 98335
Census Category: 555 - Non-structural roofing per
Includes:
# l #2 #Y #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load
Floor Areas . ft.
0 0 r 0
Additior
New / Additional Sq. Feet - 3rd Floor....................0
Occupancy #1 -Construction Type........................Tyh�
Occupancy # 1 Class ............................................ .R
Occupancy #I - Use .................................... i..... Res*nc
Y)
I/ "I
w'
^elnfl' ation
",New / itional Sq. Feet - Basement...................0
Mech be Included?....................................No
Plutr to be Included?.......................................No
or 2 \
No Flxtures soclated With This Permit H
RMIT EF ES Sunday, April 10, 2016
Permit Iss don Tuesday, October 13, 2015
1 here rtifPAC ove infor tion is correct and that the construction on the above described property and
the occ an and use will accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or age . Date: X0•/3 • /S
criw d*
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 15 -105212 -00 -SF Address: 1125 SW 325TH PL
Project: CYNTHIA KRAGTEN FEDERAL WAY, WA 98023-4917
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
Roof Sheathing (4220) ❑ Final - Buildil
Approved to install roofing Approved
`tetyci< Date ( 4 fe I � By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -�
Approved
By
Date
By
Date
By"
Date
PERMITPPLICATI4N 1,3
Federal Way b''
RECEIVED n'
PERMITNUMER I's - 10S Z (Z -,,-SF OCT 13 2015
TARGET DATE
SITE ADDRESS
/a"'5� jk)
3z-5 �
' s
PROJECT VALUATION
$ Z(,Y03
ZONING
ASSESSOR'S TAR/PARCEL 9
1 -1 Z G 'v y- -4-1-
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLmoN ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECTq�jG
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
�Yl9acfE' � G.�9YNxof /tiA�b � �St'S
PROPERTY OWNER
NAME
PHONE
G�-L
MA,UM ��,J���'IG
)//ZR7 t^)
E-XAM
CITY
ZIP9�23
D !/vim
E-MAM
CONTRACTOR
CITY
�i/
WA STATE CONTRACTOR'S LICENSE A
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
Ni ar �v/yam Lee
PRDNARY� 2Gs
APPLICANT
! v ADDXG7
EMAIL
Crr�j /i/is' SaC,
833�
FAX�3^'7 L87o
PROJECT CONTACT
NAV %�?/E C7 t;'ZG
P 3 PHONE
3?j
G
E-Mnn.
(The individual to receive and
respond to all correspondence
concerning this application)
CITY /
sra�
9��
FAX
Z,
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that 1 will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arisesreliance of the city, including its officers and employees, upon the accuracy of the
out of ±h s application.
information supplied to the city as -01-:
SIGNATURE:
DATE
14 --A?
PRINT NAME:
Bulletin # 100 - January 1, 2013 Pagel of 3 k:�HandoutslPermit Application